Sample, Nellie Nicole

Sample, Nellie Nicole is an individual health care provider with primary practice located at 5500 E Kellogg Dr , Wichita KS 67218-1607. She recently has only one registered license in Pharmacy Service Providers / Pharmacy Technician, which is considered as her primary health care specialty. Sample, Nellie Nicole can be contacted via phone (316) 685-2221.

Contact Information

Primary practice address
5500 E Kellogg Dr Wichita KS 67218-1607
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacy Technician 183700000X 14-107167 Kansas

Profile Details

NPI number 1275007809
LBN Legal business name Sample, Nellie Nicole
Credentials CPHT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2019
Last updated Jan 16th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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